Author: National Research Council
Publisher: National Academies Press
ISBN: 0309046289
Category : Medical
Languages : en
Pages : 337
Book Description
Europe's "Black Death" contributed to the rise of nation states, mercantile economies, and even the Reformation. Will the AIDS epidemic have similar dramatic effects on the social and political landscape of the twenty-first century? This readable volume looks at the impact of AIDS since its emergence and suggests its effects in the next decade, when a million or more Americans will likely die of the disease. The Social Impact of AIDS in the United States addresses some of the most sensitive and controversial issues in the public debate over AIDS. This landmark book explores how AIDS has affected fundamental policies and practices in our major institutions, examining: How America's major religious organizations have dealt with sometimes conflicting values: the imperative of care for the sick versus traditional views of homosexuality and drug use. Hotly debated public health measures, such as HIV antibody testing and screening, tracing of sexual contacts, and quarantine. The potential risk of HIV infection to and from health care workers. How AIDS activists have brought about major change in the way new drugs are brought to the marketplace. The impact of AIDS on community-based organizations, from volunteers caring for individuals to the highly political ACT-UP organization. Coping with HIV infection in prisons. Two case studies shed light on HIV and the family relationship. One reports on some efforts to gain legal recognition for nonmarital relationships, and the other examines foster care programs for newborns with the HIV virus. A case study of New York City details how selected institutions interact to give what may be a picture of AIDS in the future. This clear and comprehensive presentation will be of interest to anyone concerned about AIDS and its impact on the country: health professionals, sociologists, psychologists, advocates for at-risk populations, and interested individuals.
The Social Impact of AIDS in the United States
Author: National Research Council
Publisher: National Academies Press
ISBN: 0309046289
Category : Medical
Languages : en
Pages : 337
Book Description
Europe's "Black Death" contributed to the rise of nation states, mercantile economies, and even the Reformation. Will the AIDS epidemic have similar dramatic effects on the social and political landscape of the twenty-first century? This readable volume looks at the impact of AIDS since its emergence and suggests its effects in the next decade, when a million or more Americans will likely die of the disease. The Social Impact of AIDS in the United States addresses some of the most sensitive and controversial issues in the public debate over AIDS. This landmark book explores how AIDS has affected fundamental policies and practices in our major institutions, examining: How America's major religious organizations have dealt with sometimes conflicting values: the imperative of care for the sick versus traditional views of homosexuality and drug use. Hotly debated public health measures, such as HIV antibody testing and screening, tracing of sexual contacts, and quarantine. The potential risk of HIV infection to and from health care workers. How AIDS activists have brought about major change in the way new drugs are brought to the marketplace. The impact of AIDS on community-based organizations, from volunteers caring for individuals to the highly political ACT-UP organization. Coping with HIV infection in prisons. Two case studies shed light on HIV and the family relationship. One reports on some efforts to gain legal recognition for nonmarital relationships, and the other examines foster care programs for newborns with the HIV virus. A case study of New York City details how selected institutions interact to give what may be a picture of AIDS in the future. This clear and comprehensive presentation will be of interest to anyone concerned about AIDS and its impact on the country: health professionals, sociologists, psychologists, advocates for at-risk populations, and interested individuals.
Publisher: National Academies Press
ISBN: 0309046289
Category : Medical
Languages : en
Pages : 337
Book Description
Europe's "Black Death" contributed to the rise of nation states, mercantile economies, and even the Reformation. Will the AIDS epidemic have similar dramatic effects on the social and political landscape of the twenty-first century? This readable volume looks at the impact of AIDS since its emergence and suggests its effects in the next decade, when a million or more Americans will likely die of the disease. The Social Impact of AIDS in the United States addresses some of the most sensitive and controversial issues in the public debate over AIDS. This landmark book explores how AIDS has affected fundamental policies and practices in our major institutions, examining: How America's major religious organizations have dealt with sometimes conflicting values: the imperative of care for the sick versus traditional views of homosexuality and drug use. Hotly debated public health measures, such as HIV antibody testing and screening, tracing of sexual contacts, and quarantine. The potential risk of HIV infection to and from health care workers. How AIDS activists have brought about major change in the way new drugs are brought to the marketplace. The impact of AIDS on community-based organizations, from volunteers caring for individuals to the highly political ACT-UP organization. Coping with HIV infection in prisons. Two case studies shed light on HIV and the family relationship. One reports on some efforts to gain legal recognition for nonmarital relationships, and the other examines foster care programs for newborns with the HIV virus. A case study of New York City details how selected institutions interact to give what may be a picture of AIDS in the future. This clear and comprehensive presentation will be of interest to anyone concerned about AIDS and its impact on the country: health professionals, sociologists, psychologists, advocates for at-risk populations, and interested individuals.
Practice Issues in HIV/AIDS Services
Author: Ronald J. Mancoske
Publisher: Psychology Press
ISBN: 0789023016
Category : Health & Fitness
Languages : en
Pages : 242
Book Description
Practice Issues in HIV/AIDS Services: Empowerment-Based Models and Program Applications provides a sound framework of intervention practices for case managers and care coordinators to help HIV/AIDS patients live longer and healthier lives. This book focuses on client-based care that addresses the social and psychological needs of the patient as well as his or her physical and medical requirements. Filled with concrete information and recommendations from practitioners and researchers, this instructive text will help increase the effectiveness of your role in the client's treatment.
Publisher: Psychology Press
ISBN: 0789023016
Category : Health & Fitness
Languages : en
Pages : 242
Book Description
Practice Issues in HIV/AIDS Services: Empowerment-Based Models and Program Applications provides a sound framework of intervention practices for case managers and care coordinators to help HIV/AIDS patients live longer and healthier lives. This book focuses on client-based care that addresses the social and psychological needs of the patient as well as his or her physical and medical requirements. Filled with concrete information and recommendations from practitioners and researchers, this instructive text will help increase the effectiveness of your role in the client's treatment.
HIV/AIDS Prevention
Author: Doreen D. Salina
Publisher: Routledge
ISBN: 1317789717
Category : Health & Fitness
Languages : en
Pages : 95
Book Description
Develop a positive working relationship between researchers and community groups focusing on HIV/AIDS prevention, and discover how to evaluate HIV/AIDS programs! An indispensable manual for everyone involved with HIV/AIDS research, prevention techniques, and the needs of individuals with HIV/AIDS, HIV/AIDS Prevention: Current Issues in Community Practice covers everything from the likelihood of condom usage by college women to the psychological effects on minority men infected with the HIV/AIDS virus. Essential reading for psychologists, research scientists who work with communities or who are involved in AIDS prevention programs, and for care takers of people with HIV/AIDS, Contemporary Topics in HIV/AIDS Prevention covers the necessary collaborative steps needed to create a positive researcher/community based organization (COB) partnership that will benefit researchers and those affected by the disease. In HIV/AIDS Prevention, you will examine many different models designed to effectively foster a positive researcher/CBO relationship while learning how to overcome problems you may encounter when researching a social issue or working with a researcher. This book also explains how and why many HIV prevention programs have been poorly evaluated due to a lack of funds and social politics. In addition, you will discover how you can obtain and/or perform a true evaluation of an HIV prevention program. In HIV/AIDS Prevention, you will explore many important issues and factors that help create successful programs, including: factors necessary for valid HIV/AIDS prevention program evaluations assessments of coping strategies, psychological variables, and the physical well-being of African- American and Latino men living with HIV/AIDS steps for the collaborative process between researchers and community groups making a good match between community-based organizations and researchers HIV/AIDS Prevention gives you pertinent information and guidelines for selecting a community-based organization to work with and the steps to creating a successful relationship. This book will give you the strategies and information you need in order to give pastoral support and prevention education to at-risk individuals. You will discover what is necessary for a true HIV/AIDS prevention program evaluation.
Publisher: Routledge
ISBN: 1317789717
Category : Health & Fitness
Languages : en
Pages : 95
Book Description
Develop a positive working relationship between researchers and community groups focusing on HIV/AIDS prevention, and discover how to evaluate HIV/AIDS programs! An indispensable manual for everyone involved with HIV/AIDS research, prevention techniques, and the needs of individuals with HIV/AIDS, HIV/AIDS Prevention: Current Issues in Community Practice covers everything from the likelihood of condom usage by college women to the psychological effects on minority men infected with the HIV/AIDS virus. Essential reading for psychologists, research scientists who work with communities or who are involved in AIDS prevention programs, and for care takers of people with HIV/AIDS, Contemporary Topics in HIV/AIDS Prevention covers the necessary collaborative steps needed to create a positive researcher/community based organization (COB) partnership that will benefit researchers and those affected by the disease. In HIV/AIDS Prevention, you will examine many different models designed to effectively foster a positive researcher/CBO relationship while learning how to overcome problems you may encounter when researching a social issue or working with a researcher. This book also explains how and why many HIV prevention programs have been poorly evaluated due to a lack of funds and social politics. In addition, you will discover how you can obtain and/or perform a true evaluation of an HIV prevention program. In HIV/AIDS Prevention, you will explore many important issues and factors that help create successful programs, including: factors necessary for valid HIV/AIDS prevention program evaluations assessments of coping strategies, psychological variables, and the physical well-being of African- American and Latino men living with HIV/AIDS steps for the collaborative process between researchers and community groups making a good match between community-based organizations and researchers HIV/AIDS Prevention gives you pertinent information and guidelines for selecting a community-based organization to work with and the steps to creating a successful relationship. This book will give you the strategies and information you need in order to give pastoral support and prevention education to at-risk individuals. You will discover what is necessary for a true HIV/AIDS prevention program evaluation.
Preventing HIV Transmission
Author: National Research Council and Institute of Medicine
Publisher: National Academies Press
ISBN: 0309176212
Category : Medical
Languages : en
Pages : 352
Book Description
This volume addresses the interface of two major national problems: the epidemic of HIV-AIDS and the widespread use of illegal injection drugs. Should communities have the option of giving drug users sterile needles or bleach for cleaning needs in order to reduce the spread of HIV? Does needle distribution worsen the drug problem, as opponents of such programs argue? Do they reduce the spread of other serious diseases, such as hepatitis? Do they result in more used needles being carelessly discarded in the community? The panel takes a critical look at the available data on needle exchange and bleach distribution programs, reaches conclusions about their efficacy, and offers concrete recommendations for public policy to reduce the spread of HIV/AIDS. The book includes current knowledge about the epidemiologies of HIV/AIDS and injection drug use; characteristics of needle exchange and bleach distribution programs and views on those programs from diverse community groups; and a discussion of laws designed to control possession of needles, their impact on needle sharing among injection drug users, and their implications for needle exchange programs.
Publisher: National Academies Press
ISBN: 0309176212
Category : Medical
Languages : en
Pages : 352
Book Description
This volume addresses the interface of two major national problems: the epidemic of HIV-AIDS and the widespread use of illegal injection drugs. Should communities have the option of giving drug users sterile needles or bleach for cleaning needs in order to reduce the spread of HIV? Does needle distribution worsen the drug problem, as opponents of such programs argue? Do they reduce the spread of other serious diseases, such as hepatitis? Do they result in more used needles being carelessly discarded in the community? The panel takes a critical look at the available data on needle exchange and bleach distribution programs, reaches conclusions about their efficacy, and offers concrete recommendations for public policy to reduce the spread of HIV/AIDS. The book includes current knowledge about the epidemiologies of HIV/AIDS and injection drug use; characteristics of needle exchange and bleach distribution programs and views on those programs from diverse community groups; and a discussion of laws designed to control possession of needles, their impact on needle sharing among injection drug users, and their implications for needle exchange programs.
Global Health Nursing in the 21st Century
Author: Suellen Breakey, PhD, RN
Publisher: Springer Publishing Company
ISBN: 0826118720
Category : Medical
Languages : en
Pages : 607
Book Description
THE FIRST BOOK TO PRESENT THE SUCCESSES, CHALLENGES, AND OPPORTUNITIES OF GLOBAL HEALTH NURSING This text is designed specifically for nurses and nursing students who have an interest in global health as a specialty, regardless of experience or education level. It reflects both the unique contributions of the nursing profession and of other disciplines, which is in keeping with the editors’ perspective on how to bring about lasting change. The text views global health through a nursing lens, but maintains this awareness and appreciation of interprofessionalism throughout. The editors and contributors have firsthand experience of the complex dynamics in achieving global health, and bring a wealth of knowledge to this important field, which has grown as a course and specialty. The text depicts the worldwide expansion of nursing partnerships between resource-rich and resource-limited countries, discusses challenges and obstacles, and provides cases and guidance on how to achieve global health. It will appeal to all nurses, from student nurses embarking on a global health experience to more experienced global health nurses who offer professional nursing expertise from around the world. The text responds to a recent WHO mandate, which seeks the input of nurses and midwives as part of an interprofessional team of key strategists for facilitating global health. The Lancet report is also an important document used throughout the text, and an interview with Dr. Julio Frenk, author of that report, is included. Social, political, cultural, economic, and environmental factors—including climate change—are integrated into determinants of global health. The text covers the foundations of global health, including the emerging concept of climate justice, the ethical context of global health, and the importance of interprofessional education. It addresses key issues of global health with a focus on poor and vulnerable individuals—particularly women and children—and those living in areas of conflict. In addition to describing notable accomplishments toward achieving global health, the book focuses on the need for increasing access to primary care, improving clinical practice through expanded education, and engaging interdisciplinary researchers in discovery of viable solutions. The book includes the perspectives of nurses and colleagues from other disciplines in both resource-rich and resource-limited countries. References provide resources for additional study, and PowerPoint slides and a test bank for instructors accompany the text. KEY FEATURES Case studies depict real-world experiences Presents firsthand knowledge of global health dynamics, challenges, and opportunities Provides a wealth of information from multiple perspectives Authored by contributors across a variety of clinical and academic roles who are experienced in global health nursing and global health Includes chapters written by nurses from both resource-limited and resource-rich countries
Publisher: Springer Publishing Company
ISBN: 0826118720
Category : Medical
Languages : en
Pages : 607
Book Description
THE FIRST BOOK TO PRESENT THE SUCCESSES, CHALLENGES, AND OPPORTUNITIES OF GLOBAL HEALTH NURSING This text is designed specifically for nurses and nursing students who have an interest in global health as a specialty, regardless of experience or education level. It reflects both the unique contributions of the nursing profession and of other disciplines, which is in keeping with the editors’ perspective on how to bring about lasting change. The text views global health through a nursing lens, but maintains this awareness and appreciation of interprofessionalism throughout. The editors and contributors have firsthand experience of the complex dynamics in achieving global health, and bring a wealth of knowledge to this important field, which has grown as a course and specialty. The text depicts the worldwide expansion of nursing partnerships between resource-rich and resource-limited countries, discusses challenges and obstacles, and provides cases and guidance on how to achieve global health. It will appeal to all nurses, from student nurses embarking on a global health experience to more experienced global health nurses who offer professional nursing expertise from around the world. The text responds to a recent WHO mandate, which seeks the input of nurses and midwives as part of an interprofessional team of key strategists for facilitating global health. The Lancet report is also an important document used throughout the text, and an interview with Dr. Julio Frenk, author of that report, is included. Social, political, cultural, economic, and environmental factors—including climate change—are integrated into determinants of global health. The text covers the foundations of global health, including the emerging concept of climate justice, the ethical context of global health, and the importance of interprofessional education. It addresses key issues of global health with a focus on poor and vulnerable individuals—particularly women and children—and those living in areas of conflict. In addition to describing notable accomplishments toward achieving global health, the book focuses on the need for increasing access to primary care, improving clinical practice through expanded education, and engaging interdisciplinary researchers in discovery of viable solutions. The book includes the perspectives of nurses and colleagues from other disciplines in both resource-rich and resource-limited countries. References provide resources for additional study, and PowerPoint slides and a test bank for instructors accompany the text. KEY FEATURES Case studies depict real-world experiences Presents firsthand knowledge of global health dynamics, challenges, and opportunities Provides a wealth of information from multiple perspectives Authored by contributors across a variety of clinical and academic roles who are experienced in global health nursing and global health Includes chapters written by nurses from both resource-limited and resource-rich countries
Consolidated Guideline on Sexual and Reproductive Health and Rights of Women Living with HIV
Author: World Health Organization
Publisher: World Health Organization
ISBN: 9241549998
Category : Health & Fitness
Languages : en
Pages : 144
Book Description
he starting point for this guideline is the point at which a woman has learnt that she is living with HIV and it therefore covers key issues for providing comprehensive sexual and reproductive health and rights-related services and support for women living with HIV. As women living with HIV face unique challenges and human rights violations related to their sexuality and reproduction within their families and communities as well as from the health-care institutions where they seek care particular emphasis is placed on the creation of an enabling environment to support more effective health interventions and better health outcomes. This guideline is meant to help countries to more effectively and efficiently plan develop and monitor programmes and services that promote gender equality and human rights and hence are more acceptable and appropriate for women living with HIV taking into account the national and local epidemiological context. It discusses implementation issues that health interventions and service delivery must address to achieve gender equality and support human rights.
Publisher: World Health Organization
ISBN: 9241549998
Category : Health & Fitness
Languages : en
Pages : 144
Book Description
he starting point for this guideline is the point at which a woman has learnt that she is living with HIV and it therefore covers key issues for providing comprehensive sexual and reproductive health and rights-related services and support for women living with HIV. As women living with HIV face unique challenges and human rights violations related to their sexuality and reproduction within their families and communities as well as from the health-care institutions where they seek care particular emphasis is placed on the creation of an enabling environment to support more effective health interventions and better health outcomes. This guideline is meant to help countries to more effectively and efficiently plan develop and monitor programmes and services that promote gender equality and human rights and hence are more acceptable and appropriate for women living with HIV taking into account the national and local epidemiological context. It discusses implementation issues that health interventions and service delivery must address to achieve gender equality and support human rights.
Reducing the Odds
Author: National Research Council
Publisher: National Academies Press
ISBN: 9780309062862
Category : Medical
Languages : en
Pages : 426
Book Description
Thousands of HIV-positive women give birth every year. Further, because many pregnant women are not tested for HIV and therefore do not receive treatment, the number of children born with HIV is still unacceptably high. What can we do to eliminate this tragic and costly inheritance? In response to a congressional request, this book evaluates the extent to which state efforts have been effective in reducing the perinatal transmission of HIV. The committee recommends that testing HIV be a routine part of prenatal care, and that health care providers notify women that HIV testing is part of the usual array of prenatal tests and that they have an opportunity to refuse the HIV test. This approach could help both reduce the number of pediatric AIDS cases and improve treatment for mothers with AIDS. Reducing the Odds will be of special interest to federal, state, and local health policymakers, prenatal care providers, maternal and child health specialists, public health practitioners, and advocates for HIV/AIDS patients. January
Publisher: National Academies Press
ISBN: 9780309062862
Category : Medical
Languages : en
Pages : 426
Book Description
Thousands of HIV-positive women give birth every year. Further, because many pregnant women are not tested for HIV and therefore do not receive treatment, the number of children born with HIV is still unacceptably high. What can we do to eliminate this tragic and costly inheritance? In response to a congressional request, this book evaluates the extent to which state efforts have been effective in reducing the perinatal transmission of HIV. The committee recommends that testing HIV be a routine part of prenatal care, and that health care providers notify women that HIV testing is part of the usual array of prenatal tests and that they have an opportunity to refuse the HIV test. This approach could help both reduce the number of pediatric AIDS cases and improve treatment for mothers with AIDS. Reducing the Odds will be of special interest to federal, state, and local health policymakers, prenatal care providers, maternal and child health specialists, public health practitioners, and advocates for HIV/AIDS patients. January
Practice Issues in HIV/AIDS Services
Author: R Dennis Shelby
Publisher: Routledge
ISBN: 1136766367
Category : Health & Fitness
Languages : en
Pages : 242
Book Description
Improve quality of life for patients with HIV/AIDS! Practice Issues in HIV/AIDS Services: Empowerment-Based Models and Program Applications provides a sound framework of intervention practices for case managers and care coordinators to help HIV/AIDS patients live longer and healthier lives. This book focuses on client-based care that addre
Publisher: Routledge
ISBN: 1136766367
Category : Health & Fitness
Languages : en
Pages : 242
Book Description
Improve quality of life for patients with HIV/AIDS! Practice Issues in HIV/AIDS Services: Empowerment-Based Models and Program Applications provides a sound framework of intervention practices for case managers and care coordinators to help HIV/AIDS patients live longer and healthier lives. This book focuses on client-based care that addre
Practices of Freedom
Author: Simon Watney
Publisher: Duke University Press
ISBN: 9780822315643
Category : Health & Fitness
Languages : en
Pages : 316
Book Description
Since the mid-1980s, Britain's Simon Watney has been one of the leading voices in the international field of HIV/AIDS education. Practices of Freedom demonstrates the failure of national institutions, from the government to th e press, to understand and effectively fight this epidemic. Watney directs attention of the most urgent needs in American and international AIDS work.
Publisher: Duke University Press
ISBN: 9780822315643
Category : Health & Fitness
Languages : en
Pages : 316
Book Description
Since the mid-1980s, Britain's Simon Watney has been one of the leading voices in the international field of HIV/AIDS education. Practices of Freedom demonstrates the failure of national institutions, from the government to th e press, to understand and effectively fight this epidemic. Watney directs attention of the most urgent needs in American and international AIDS work.
Handbook of HIV and Social Work
Author: Cynthia Cannon Poindexter
Publisher: John Wiley & Sons
ISBN: 1118012100
Category : Social Science
Languages : en
Pages : 627
Book Description
Praise for Handbook of HIV and Social Work "Cynthia Cannon Poindexter has given us a remarkable edited volume that contains much information on HIV that every professional social worker needs to know in order to practice competently in today's complex world."—From the Foreword by Vincent J. Lynch, MSW, PhD, Boston College Graduate School of Social Work "This comprehensive handbook assembles a group of social work scholars and practitioners to participate in, guide, and address many of the unresolved challenges characterizing the HIV debates. This handbook is a valuable and timely addition to the literature."—King Davis, MSW, PhD, The Robert Lee Sutherland Chair in Mental Health and Social Policy, The University of Texas at Austin School of Social Work "This handbook is an outstanding resource for the social work professional working to ensure equal access to care, treatment, and resources for all persons living with and/or affected by HIV."—Evelyn P. Tomaszewski, MSW, Project Director, NASW HIV/AIDS Spectrum: Mental Health Training and Education of Social Workers Project "This book is an excellent, up-to-date guide on HIV. It is an indispensable resource for all those who work with HIV and all its complications."—Leon Ginsberg, MSW, PhD, Dean Emeritus, University of South Carolina School of Social Work and Editor, Administration in Social Work The most current knowledge on the HIV pandemic in a thorough, diverse, and accessible volume This invaluable book draws on a distinguished roster of HIV advocates, educators, case managers, counselors, and administrators, assembling the most current knowledge into this volume. Handbook of HIV and Social Work reflects the latest research and its impact on policy and practice realities, with topics including: History, Illness, Transmission, and Treatment Social Work Roles, Tasks, and Challenges in Health Care Settings HIV-related Community Organizing and Grassroots Advocacy The Impact of HIV on Children and Adolescents HIV-affected Caregivers
Publisher: John Wiley & Sons
ISBN: 1118012100
Category : Social Science
Languages : en
Pages : 627
Book Description
Praise for Handbook of HIV and Social Work "Cynthia Cannon Poindexter has given us a remarkable edited volume that contains much information on HIV that every professional social worker needs to know in order to practice competently in today's complex world."—From the Foreword by Vincent J. Lynch, MSW, PhD, Boston College Graduate School of Social Work "This comprehensive handbook assembles a group of social work scholars and practitioners to participate in, guide, and address many of the unresolved challenges characterizing the HIV debates. This handbook is a valuable and timely addition to the literature."—King Davis, MSW, PhD, The Robert Lee Sutherland Chair in Mental Health and Social Policy, The University of Texas at Austin School of Social Work "This handbook is an outstanding resource for the social work professional working to ensure equal access to care, treatment, and resources for all persons living with and/or affected by HIV."—Evelyn P. Tomaszewski, MSW, Project Director, NASW HIV/AIDS Spectrum: Mental Health Training and Education of Social Workers Project "This book is an excellent, up-to-date guide on HIV. It is an indispensable resource for all those who work with HIV and all its complications."—Leon Ginsberg, MSW, PhD, Dean Emeritus, University of South Carolina School of Social Work and Editor, Administration in Social Work The most current knowledge on the HIV pandemic in a thorough, diverse, and accessible volume This invaluable book draws on a distinguished roster of HIV advocates, educators, case managers, counselors, and administrators, assembling the most current knowledge into this volume. Handbook of HIV and Social Work reflects the latest research and its impact on policy and practice realities, with topics including: History, Illness, Transmission, and Treatment Social Work Roles, Tasks, and Challenges in Health Care Settings HIV-related Community Organizing and Grassroots Advocacy The Impact of HIV on Children and Adolescents HIV-affected Caregivers